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Editorials

Pre-diabetes: opportunity or overdiagnosis?

Helen Twohig, Victoria Hodges and Caroline Mitchell
Br J Gen Pract 2018; 68 (669): 172-173. DOI: https://doi.org/10.3399/bjgp18X695369
Helen Twohig
Academic Unit of Primary Medical Care, University of Sheffield, Northern General Hospital, Sheffield.
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Victoria Hodges
Academic Unit of Primary Medical Care, University of Sheffield, Sheffield.
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Caroline Mitchell
Academic Unit of Primary Medical Care, University of Sheffield, Sheffield.
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  • Surely an opportunity if we get it right!
    Rebecca Weir
    Published on: 03 April 2018
  • Published on: (3 April 2018)
    Surely an opportunity if we get it right!
    • Rebecca Weir, Sessional GP, None
    I read with frustration the findings that “Let’s Prevent” and the DPP fail to show any statistically significant reduction in progression to Type 2 diabetes compared with normal care. Yet on looking into the lifestyle intervention offered for the DPP I am not surprised. Again the advice given is to follow PHE dietary advice - maintain a low fat diet, yet surely we all know the problem in diabetes and pre-diabetes is a problem with carbohydrate metabolism. Is it not about time we start to see a widespread roll out of low carbohydrate, higher fat diets? Just one example, my mother, her HbA1C fell from 48 to 38 following a moderately low carbohydrate diet for 3 months. Fat is not the problem in diabetes, carbohydrate is. See Diabetes UK discussion forums of patients discovering this for themselves - often with no help or contrary advice from their medical team. Diabetes and pre-diabetes is a frequently reversible condition of abnormal carbohydrate metabolism. Carbohydrate drives insulin secretion. If we advise patients to reduce carbohydrate (not fat) in their diet the problem often resolves.
    Competing Interests: None declared.
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British Journal of General Practice: 68 (669)
Br J Gen Pract
Vol. 68, Issue 669
April 2018
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Pre-diabetes: opportunity or overdiagnosis?
Helen Twohig, Victoria Hodges, Caroline Mitchell
Br J Gen Pract 2018; 68 (669): 172-173. DOI: 10.3399/bjgp18X695369

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Pre-diabetes: opportunity or overdiagnosis?
Helen Twohig, Victoria Hodges, Caroline Mitchell
Br J Gen Pract 2018; 68 (669): 172-173. DOI: 10.3399/bjgp18X695369
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  • Article
    • INTRODUCTION
    • IDENTIFICATION OF PRE-DIABETES
    • DIABETES PREVENTION PROGRAMMES
    • OVERDIAGNOSIS?
    • CONCLUSIONS
    • Notes
    • REFERENCES
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More in this TOC Section

  • Doctors and suicide
  • Helping patients with common mental health problems return to work
  • Diabetes outcomes in people with severe mental illness
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© 2018 British Journal of General Practice

Print ISSN: 0960-1643
Online ISSN: 1478-5242